Provider Demographics
NPI:1902860471
Name:MULDROW PUBLIC SCHOOL
Entity Type:Organization
Organization Name:MULDROW PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-427-7406
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:
Mailing Address - City:MULDROW
Mailing Address - State:OK
Mailing Address - Zip Code:74948-0660
Mailing Address - Country:US
Mailing Address - Phone:918-427-7406
Mailing Address - Fax:
Practice Address - Street 1:715 WEST SHAWNTEL SMITH BLVD.
Practice Address - Street 2:
Practice Address - City:MULDROW
Practice Address - State:OK
Practice Address - Zip Code:74948-0660
Practice Address - Country:US
Practice Address - Phone:918-427-7406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare